Organization · Type 2 NPI

Breakwater Center for Developmental and Behavioral Pediatrics

Adolescent and Children Mental Health Clinic/Center · Charleston, SC

NPI number 1154166270 Active

Practice location

494B Savannah Hwy
Charleston, SC 29407-7275

Mailing address

3019 Allison Cove Dr
Charleston, SC 29412-4971

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1154166270

Breakwater Center for Developmental and Behavioral Pediatrics's National Provider Identifier is 1154166270, issued on Jun 29, 2024. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Charleston, SC. The record was last updated on Jun 29, 2024.